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What would be the best intervention you could make on behalf of this patient?
- A. Discourage the use of incense in the hospital.
- B. Ask the family to have the ceremony off the unit.
- C. Arrange for the ceremony to occur after notifying all departments affected.
- D. Encourage the family to conduct the ceremony elsewhere because it may affect other patients in the unit.
Correct Answer: C
Rationale: Culturally competent policies are developed to promote an environment in which the traditional healing, spiritual, and religious practices of patients are respected and encouraged and to recognize the special dietary practices of patients from selected cultural groups. To promote spirituality and transcultural nursing, the nurse should make or help to make the arrangements. The nurse should not attempt to dissuade the family or to relegate the ceremony to a site outside the hospital.
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When explaining the concept of transcultural nursing to uninitiated nurses, how should the team members describe it?
- A. Transcultural nursing is the comparative analysis of the health benefits and risks of recognizable ethnic groups.
- B. Transcultural nursing refers to research-focused practice that focuses on patient-centered, culturally competent nursing.
- C. Transcultural nursing refers to a systematic and evidence-based effort to improve health outcomes in patients born outside the United States.
- D. Transcultural nursing is a term used to describe interventions that seek to address language barriers in nursing practice.
Correct Answer: B
Rationale: Transcultural nursing, a term sometimes used interchangeably with cross-cultural, intercultural, or multicultural nursing, refers to research-focused practice that focuses on patient-centered, culturally competent nursing. It is not limited to language barriers and foreign-born patients. It does not focus solely on health risks and benefits in ethnic groups.
When categorizing this particular complementary therapy, the nurse should identify it as which of the following?
- A. A biologically based therapy
- B. A mind-body intervention
- C. A manipulative and body-based method therapy
- D. An energy therapy
Correct Answer: D
Rationale: Therapeutic touch is an example of an energy therapy. Biologically based therapies include herbal therapies, special diet therapies, orthomolecular therapies, and biologic therapies. Mind-body interventions include meditation, dance, music, art therapy, prayer, and mental healing. Manipulative and body-based methods include chiropractic, massage therapy, osteopathic manipulation, and reflexology.
How should the nurse and the other members of the care team best respond?
- A. Explain to the son the teams ethical obligation to inform the patient.
- B. Refer the family to social work.
- C. Have a nurse or physician from the patients culture make contact with her and her son.
- D. Speak with the son to explore his rationale and attempt to reach a consensus.
Correct Answer: D
Rationale: Nurses must promote open dialogue and work with patients, families, physicians, and other health care providers to reach the culturally appropriate solution for the individual patient. A referral to social work is not a sufficient response and enlisting a caregiver from the same culture may not be ethical or effective.
What should the staff educator identify as the underlying focus of transcultural nursing?
- A. The underlying focus of transcultural nursing is to enhance the cultural environment of institutions.
- B. The underlying focus of transcultural nursing is to promote the health of communities.
- C. The underlying focus of transcultural nursing is to provide culture-specific and culture-universal care.
- D. The underlying focus of transcultural nursing is to promote the well-being of discrete, marginalized groups.
Correct Answer: C
Rationale: The underlying focus of transcultural nursing is to provide culture-specific and culture-universal care that promotes the well-being or health of individuals, families, groups, communities, and institutions. It is not limited to institutions, communities, or marginalized groups.
Which of the following diseases would you likely address? Select all that apply.
- A. Human immunodeficiency virus (HIV)
- B. Cancer
- C. Heart disease
- D. Chronic obstructive pulmonary disease (COPD)
- E. Alzheimers disease
Correct Answer: A,B,C
Rationale: Ethnic and racial minorities are disproportionately burdened with cancer, heart disease, diabetes, human immunodeficiency virus (HIV), infection/acquired immunodeficiency syndrome (AIDS), and other conditions. COPD and Alzheimers disease are incorrect because health care disparities have not been noted with these two diseases.